Remote Health Plan Pharmacist Advisor

CVS Health Corporation; Michigan; Híbrido; USD 111.000 - 250.000; Jornada completa

Descripción de la vacante

CVS Health is seeking a Health Plan Clinical Advisor to manage clinical relationships with health plans, engaging key decision makers across pharmacology, medical leadership and plan operations. The role supports multiple market segments and requires travel up to 50% to meet client needs.

The advisor will analyze data, advise on formulary strategies, utilization management, and clinical programs, collaborating with internal teams to align with client priorities and CVSH goals.

Formación

• 3+ years of managed care pharmacist experience and/or 1 year of Managed Care Residency program.
• Active pharmacist license that is in good standing.
• Demonstrated experience in a client-facing role within the managed care environment
• Demonstrated understanding of and experience with utilization management trends and programs within the managed care environment
• Highly organized, detail oriented, proficient analytical ability with effective listening & presentation skills are required.

Responsabilidades

• Manage the clinical relationship by influencing multiple key decision makers at a health plan (pharmacy support team, pharmacists, medical directors, CMO, and other senior leaders).
• Develop and execute a comprehensive business plan to support client profitability and growth.
• Consult with clients on formulary options and utilization management edits.
• Collaborate with internal partners to develop or modify custom programs or formularies for health plan clients.
• Travel up to 50% as needed to service clients.

Conocimientos

Client-facing

Managed care knowledge

Analytical skills

Communication skills

Presentation skills

Travel willingness

Educación

BS in Pharmacy or PharmD

Active pharmacist license in at least 1 state

Herramientas

PBM adjudication systems

Descripción del empleo

CVS Health is seeking a Health Plan Clinical Advisor to manage clinical relationships with health plans, engaging key decision makers across pharmacology, medical leadership and plan operations. The role supports multiple market segments and requires travel up to 50% to meet client needs.

The advisor will analyze data, advise on formulary strategies, utilization management, and clinical programs, collaborating with internal teams to align with client priorities and CVSH goals.